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1225357049
KEVIN CLARK
LITTLE ROCK, AR
NPI
1225357049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-05-18
Last Update Date
2010-05-18
Business Address
-- KEVIN CLARK MHPP
100 S UNIVERSITY AVE STE 401
LITTLE ROCK, AR 72205-5213
Phone number: 501-663-5473
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Mailing Address
-- KEVIN CLARK MHPP
100 S UNIVERSITY AVE STE 401
LITTLE ROCK, AR 72205-5213
Phone number: 501-663-5473
Copy
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